Apparatus and Method for Injection Molding an Intraocular Lens Device

ABSTRACT

Apparatus and methods for injection molding intraocular lenses includes an embodiment having first and second runners extending into first and second optic cavities of a mold configured to make a dual optic lens device.

BACKGROUND OF THE INVENTION

This application is a divisional of co-pending application Ser. No. 10/954,322, filed Sep. 30, 2004 herein incorporated by reference.

The present invention relates to injection molding and more particularly relates to novel apparatus and methods for liquid injection molding an intraocular lens (“IOL”). Intraocular lenses having a single optic have been known and used for many years. IOL manufacturing has included cast molding, lathing and liquid injection molding (LIM). In the LIM technique, a cold liquid lens material, for example a pre-mixed two-part liquid silicone, is injected into a heated mold cavity of the desired configuration and allowed to cure and harden. While LIM is a cost-effective technique for making intraocular lenses, improvements could be made to various aspects thereof such as, for example, surface finishes and gating designs that do not create unwanted knit lines, gate vestiges and the like.

More recently, accommodating intraocular lens devices having two optics interconnected by one or more haptics have been disclosed in the following U.S. patents and applications to Faezeh Sarfarazi, the entirety of which are incorporated herein by reference:

U.S. Pat. No. 5,275,623 “Elliptical Accommodative Intraocular Lens For Small Incision Surgery”;

U.S. Pat. No. 6,423,094 “Accommodative Lens Formed From Sheet Material”;

U.S. Pat. No. 6,488,708 “Open Chamber Elliptical Accommodative Intraocular Lens System”;

U.S. Ser. No. 10/445,762 filed on May 27, 2003, entitled “Mold for Intraocular Lens”.

The Sarfarazi accommodating lens device includes two optics, one negative and the other positive for placing in the evacuated lens capsule of an eye. The optics are interconnected along their peripheries by one or more haptics which space the optics from each other and assist in properly positioning the device in the eye. The haptics are formed from a flexible material such that they may flex in response to forces exerted by the eye's ciliary muscles which control accommodation. The haptics will thus flex and bow further radially outwardly upon a compressive force being applied to the device, whereby the two optics are drawn closer together to achieve an accommodative effect in the eye. When the ciliary muscles relax, the haptics flex in the opposite direction (toward a straightened position) causing the optics to space further apart and the lens device returns the eye to its natural, unaccommodative state.

As stated above, single optic intraocular lenses have been known and used for decades while the two lens accommodative intraocular lens device is new and not yet seen on the market. It will be appreciated that manufacturing, packaging and otherwise handling a two optic lens device presents issues not present in the manufacture, packaging and handling of single optic intraocular lenses. In the '762 application listed above, a two optic IOL is injection molded in a mold cavity having a removable metal insert centrally located between first and second cavity blocks. The IOL first optic is formed between the first cavity block and a first surface of the mold insert and the second optic is formed between the second cavity block and the opposite surface of the mold insert. The haptics interconnect and are integrally formed with the first and second optics. The inner surfaces of the haptics are formed by the perimeter of the mold insert and the outer surfaces thereof are formed by the first and second cavity blocks. Silicone is injected into the cavity and allowed to cure to form the IOL. The cavity blocks are opened and the mold insert is removed therefrom. The mold insert is preferably connected to a handle to permit easy handling thereof. The IOL remains connected to the mold insert as the mold insert is removed from between the cavity blocks. Since the IOL is made of silicone, it may be removed from the mold insert by carefully stretching it to allow the mold insert to pass between an opening defined between the haptic or haptics. The mold insert is then replaced between the cavity blocks to injection mold another IOL. The injection mold tools are made of suitable materials able to withstand repeated molding cycles.

While the above manufacturing method is satisfactory for injection molding a two optic IOL, improvements may be made. For example, a need exists for a robust liquid injection molding method which produces high quality IOLs. It would also be desirable to have a liquid injection molding apparatus and method that reduces or eliminates knit lines, gate vestiges and the like on the molded IOL such that post-molding processes to remove such molding remnants are likewise reduced or eliminated.

SUMMARY OF THE INVENTION

In one aspect, the present invention provides predetermined surface finishes on preselected mold cavity parts of a liquid injection molding apparatus. Surface finishes can be used for various purposes such as, for example, creating a “frosted” appearance to one or more haptics of an IOL which may improve visualization for the surgeon during the implantation procedure. Surface finishes may also be used to facilitate removal of the lens device from the mold insert, for example.

In another aspect, the invention provides a liquid injection molding apparatus and method for making IOLs which are of high quality and require a minimum of post molding operations such as edging to remove gate vestiges.

In yet another aspect, the invention comprises an improved apparatus and method for liquid injection molding a dual optic intraocular lens device such as lens device 10. In a preferred embodiment, injection of the liquid lens material into the mold cavity is provided through first and second gates leading into the first and second optic cavities, respectively, thereby improving the mold flow dynamics resulting in a higher quality lens device. In a preferred embodiment, the first and second gates taper to reduce or eliminate gate vestiges on the resultant lens device.

In another aspect, the present invention provides an improved mold insert for a liquid injection molding apparatus and method.

The present invention will be described with regard to preferred embodiments thereof, it being understood that modifications may be made without departing from the full scope of the invention as claimed. It is also noted that certain aspects of the invention may be solely applicable to a dual optic lens device while other aspects of the invention may be more broadly applicable to lens devices having one or more optics and with or without one or more haptics integrally molded therewith.

BRIEF DESCRIPTION OF THE DRAWINGS

FIG. 1 is an enlarged, perspective view of an embodiment of a dual optic intraocular lens;

FIG. 2 is a perspective view of a first half of a cavity block according to an embodiment of the invention;

FIG. 3 is a perspective view of a second half of a cavity block according to an embodiment of the invention;

FIG. 4A is a side elevational view of an embodiment of the mold insert of the invention;

FIG. 4B is the view of FIG. 4A showing the optical insert in spaced relation to the other parts of the mold insert;

FIG. 4C is a perspective view of FIG. 4B;

FIG. 4D is a plan view of FIG. 4A;

FIG. 4E is a perspective view of the mold insert with a molded IOL attached thereto;

FIG. 5A is a perspective view of the cavity blocks and inserts in their assembled, closed condition;

FIG. 5B is a top plan view of FIG. 5A with the handle of the mold insert shown fragmented;

FIG. 5C is a cross-sectional view as taken generally along the line 5C-5C in FIGS. 5A and B;

FIG. 5D is an enlarged, fragmented view of the mold cavity seen in FIG. 5C;

FIG. 6A is an exploded, perspective view of the mold base, cavity blocks and mold inserts;

FIG. 6B is a plan view of one half of the mold base with the associated cavity block and mold insert;

FIG. 6C is a plan view of the other half of the mold base with the associated cavity block and mold insert; and

FIG. 6D is a perspective view of the assembled mold base.

DETAILED DESCRIPTION

The present invention will be described with regard to preferred embodiments thereof, it being understood that modifications may be made without departing from the full scope of the invention as claimed. It is also noted that certain aspects of the invention may be solely applicable to a dual optic lens device while other aspects of the invention may be more broadly applicable to lens devices having one or more optics with or without one or more haptics separately attached or integrally molded therewith.

Referring now to the drawing, there is seen in FIG. 1 an embodiment of a dual optic accommodative intraocular lens device 10 which may be made with the present invention. Briefly, lens device 10 includes first and second optics 12, 14 interconnected by one or more, but preferably three, haptics 16 a, 16 b and 16 c defining three open spaces 18 a, 18 b, 18 c therebetween, respectively. Haptics 16 a-c bow outwardly past the optic perimeters 12 p, 14 p and are flexible whereby the optics may move alternately toward and away from each other generally along the optical axis OA-OA. Optics 12, 14 and haptics 16 a-c are formed as a unitary element and may be made of any suitable IOL liquid lens material such as silicone, for example. First optic 12 may be a double convex positive lens and second optic 14 may be a plano-concave negative lens positioned posterior relative to first optic 12 in an eye as described more fully in the Sarfarazi patents listed above.

Referring to FIGS. 2-6B, first and second cavity blocks 30, 32 are provided each having a cavity portion 30 a, 32 a which, when assembled in facing relation, form a completed cavity shaped to mold a lens device of the desired configuration therein. For purposes of description, cavity blocks 30, 32 will be described in the configuration for molding the dual optic lens device 10 shown in FIG. 1. Each cavity block includes a base 30 b, 32 b having one or more alignment features such as taper locks 30 c, 32 c and cut-outs 30 d, 32 d, respectively, which mate to properly align the cavity tool portions 30 a, 30 b when the cavity blocks are brought together. The cavity blocks 30, 32 are mounted with appropriate mounting pins into respective halves 80 a, 80 b of a mold base 80 (FIGS. 6A and 6B), particulars of which are explained more fully below. Mold base 80 is mounted in an injection mold machine (not shown) operable to alternately open and close the cavity blocks 30, 32 between molding cycles. The molding machine set-up of course provides all necessary mold processing apparatus such as, for example, electronic controls, heating elements for curing the lens device in the cavity, cooling elements, and an injection nozzle assembly for injecting the liquid lens material into the mold cavity.

Cavity tool portions 30 a, 32 a each include an optical surface 30 f, 32 f which form the outwardly facing surfaces 12 a, 14 a of lens optics 12, 14, respectively. The inwardly facing surfaces 12 b, 14 b of lens optics 12, 14 are formed by first and second optical surfaces 40 a, 40 b provided on mold insert 40 (FIGS. 4A-D), respectively. In the preferred embodiment, all mold optical surfaces are provided on individual inserts which are removably attached to their respective mountings. More particularly, as seen in FIGS. 5C and 5D, optical surfaces 30 f, 32 f are provided on respective tool inserts 50, 52 which are removably mounted through openings 30 g, 32 g in respective cavity blocks 30, 32, respectively. Backing plates 60, 62 abut cavity blocks 30, 32 and are secured thereto via bolts 60 a, 62 a having shanks 60 b, 62 b which thread into the non-optical ends 50 a, 52 a of optical inserts 50, 52, respectively. Optical surfaces 30 f, 32 f are preferably formed by EDM or diamond turned metal of high optical quality and thermal conductivity (e.g., CuNi).

The outwardly facing surfaces 16 a′-c′ of haptics 16 a-c of lens device 10 are formed by cavity surfaces 30 h,i,j in cavity portion 30 a (FIG. 3), and by cavity surfaces 32 h,i,j in cavity portion 32 a (FIG. 2), respectively. Cavity surfaces 30 h,i,j and 32 h,i,j are recessed relative to intervening cavity surfaces 30 k,l,m and 32 k,l,m for reasons explained below. When optical inserts 50, 52 are mounted in cavity blocks 30, 32, the optical surfaces 30 f, 32 f thereof are located radially inward and adjacent cavity surfaces 30 h,i,j and 32 h,i,j, respectively. When cavity blocks 30, 32 are brought together, the parting line PL is preferably located about the midline of lens device 10 defined by a plane intersecting the haptics 16 a-c at their largest outer diameter.

The inwardly facing surfaces 16 a″-c″ of haptics 16 a-c are formed by cavity surfaces 40 c,d,e on annular portion 40″ of mold insert 40 (FIG. 4D). The annular portion 40″ is preferably of uniform thickness about its circumference and is sized such that haptic forming cavities HC₁₋₃ are created between mold insert surfaces 40 c,d,e and cavity surfaces 30 h,i,j and 32 h,i,j (which are recessed relative to intervening cavity surfaces 30 k,l,m and 32 k,l,m) when the mold is closed as seen in FIGS. 5A-D. (Only one haptic cavity HC₁ is seen in FIGS. 5C and 5D.) Liquid lens material is prevented from flowing between the haptic forming cavities HC₁₋₃ due to the close, abutting relationship of mold insert surfaces 40 f,g,h and cavity surfaces 30 k,l,m and 32 k,l,m. Since lens material cannot flow here, open spaces 18 a,b,c are thereby created between haptics 16 a,b,c in the molded lens device 10 (see FIG. 1).

In a preferred embodiment, mold insert 40 is attached to a handle 42 to assist in alternately inserting and removing mold insert 40 from between cavity blocks 30, 32. In this embodiment, the handle part resides between grooves 35, 37 provided in cavity blocks 30, 32, respectively, and cuts off mold flow to the area between haptic forming surfaces 30 h,j and 32 h,j. A hole 43 in handle 42 may be engaged with a pin 81 provided in the mold base 80 (see FIG. 6A) to align mold insert 40 between optical surfaces 30 f, 32 f. In this embodiment, pin 81 is provided on core clamping plate 87 and extends through a hole 86 a provided in core plate 86. The hole 86 a is located in a linear recess 86 b which is coextensive with recess 35 in cavity block 30 to accommodate mold insert handle 42 therein. Other alignment means may of course be used as desired.

As seen in FIGS. 4B,C, optical surfaces 40 a,b are provided on an insert 40′ that is mounted in the central opening 45 of annular mold insert surface 40″. Insert 40′ may be secured thereto by injecting a quantity of liquid adhesive through a hole 43 extending to a groove 41 provided on the inside diameter of mold insert annular portion 40″ (FIG. 4C). By providing insert 40′ and annular portion 40″ as separate components, they may be made of different materials and have different surface finishes. For example, insert 40′ which forms the device optics may be made of diamond turned metal while annular portion 40″ which forms the device haptics may be made of a high quality, thermally resistant plastic material such as ALTEM that is capable of repeated molding cycles, or vice-versa. Other methods for securing insert 40′ within opening 45 may of course be used (e.g., friction fit, mechanical interlock, etc.).

To begin a molding cycle, mold insert 40 is placed between cavity blocks 30,32 as described above. In a preferred embodiment, the mold insert 40 is laid upon one of the cavity blocks 30 or 32 first with handle 42 residing in the respective groove 35 or 37. The second cavity block is then moved against the first cavity block, sandwiching mold insert 40 therebetween and creating the mold cavity. When molding lens devices having concave and convex optical surfaces such as lens device 10, it is preferred that the concave optical surface 40 a of mold insert 40 which is responsible for making the convex optical surface 12 b of the lens device, is first placed face-down in cavity block 30. This is to reduce the chance of scratching the convex optical surface 40 b of the mold insert which is face-up and not being brought to bear against a cavity block at this point. This is particularly true in the case where the mold insert 40 is being manually placed on the cavity block by a worker who may inadvertently touch a protruding convex surface 40 b of the mold insert with parts of the cavity block when trying to place this side down in the cavity block. Should such scratching occur, this would transfer to the molded lens device which would have to be scrapped. By instead placing the concave surface 40 a face down, there is less chance that the worker could inadvertently touch the concave surface 40 a (since it is recessed) with parts of the cavity block against which it is being laid. In the embodiment of lens device 10, the cavity block 30 responsible for forming the positive optic 12 (double convex) is thus positioned below the cavity block 32 for forming the negative optic 14 (plano-concave) wherein mold insert 40 is first placed on cavity block 30 with mold insert concave surface 40 a facing cavity surface 30 a (see FIG. 6A). Cavity block 32 is then moved against cavity block 30 to create the mold cavity ready to receive liquid lens material (FIGS. 5A-D).

Referring again to FIGS. 2, 3 and 5C,D and 6A-D, a preferably full-round primary runner 70 is formed by facing half-round runner surfaces 70 a, 70 b provided in cavity blocks 30, 32, respectively. Runner geometries other than round are of course possible. A cavity block runner 72, which may extend co-planar for a horizontal injection (as shown) or perpendicular for a vertical injection (not shown) to primary runner 70, is formed by runner surfaces 72 a and 72 b in cavity blocks 30, 32, respectively, when the mold is closed. The core plates 86, 88, in which cavity blocks 30, 32 are respectively mounted (FIGS. 6B, C), include runner halves 84 a, 84 b which, when the mold is closed, form lead-in runner 84 which extends into cavity block runner 72 which, in turn, extends into primary runner 70. A runner insert 72 c provides a bridge between runner surface 72 b and 84 b in cavity block 32 (FIGS. 6B,D).

Primary runner 70 then extends toward the mold cavity and branches into first and second sub-runners 70 a′, 70 b′ which extend into the optical cavities OC₁ and OC₂ through first and second gates 70 a″, 70 b″ respectively. The first and second gates 70 a″ and 70 b″ are preferably located at the perimeter of the optical cavities OC₁ and OC₂ between adjacent haptic-forming cavities. In this regard, it is noted that the sub-runners 70 a′, 70 b′ are formed in part by the annular portion 40″ of mold insert 40 (refer to the inner arcs of the sub-runners in cross-sectional view of FIGS. 5C, D). The general locations of first and second gates 70 a″ and 70 b″ are indicated with respect to the finished lens in FIG. 1. The first and second gates 70 a″, 70 b″ are preferably configured to taper inwardly into their respective mold cavities OC₁, OC₂ such that little or no gate vestige is created at these areas of the molded lens device. In a preferred embodiment, the gates 70 a″, 70 b″ taper at an angle of between about 5 and 25 degrees, more preferably between about 10 and 20 degrees, and most preferably taper at an angle of about 15 degrees. The taper length is preferably about 0.1 to 1.0 mm and more preferably is about 0.53 mm.

Referring particularly to FIGS. 5 and 6, liquid lens material (e.g. silicone) is injected through inject port 82, through lead-in runner 84, through cavity block runner 72, through primary runner 70, then branching through both the first and second sub-runners 70 a′, 70 b′. The diameters of sub-runners 70 a′, 70 b′ are preferably substantially equal such that substantially equal amounts of liquid lens material travels therethrough although this may change depending on the lens design. This creates two flow fronts which meet at about the midline of the haptic cavities HC₁₋₃. This is preferable over a flow front that meets at one or both of the optical cavities OC₁ and OC₂ since unacceptable optics could result. To enhance material flow, the diameters of the runners may step down toward the cavity. In liquid injection molding, the material is injected at a cool temperature relative to the heated mold cavity. In the present embodiment, liquid silicone is injected at a temperature of about 30° F. to 50° F. and more preferably at about 40° F.

Once the liquid lens material has been injected, heat is applied to the mold base 80 to cure the liquid lens material (e.g., in the range of about 250° F. to 300° F. and more preferably about 280° F.). In a preferred embodiment, a vacuum may be drawn from the mold cavity through vacuum line VL to assist in the injection of the liquid lens material. Application of a vacuum during injection may be desirable to eliminate air bubbles and ensure a complete fill of the mold cavities. The vacuum may also help reduce flash. A hole 47 is provided in mold insert handle 42 where the vacuum line begins. A gasket 83 may be applied in surrounding relation to the cavity blocks 30,32 to help create an air-tight seal for a more effective vacuum draw. The gasket may have a runner groove 83 a which aligns with the lead-in runner half 84 a, as well as a groove 83 b which aligns with groove 86 b to accommodate the mold insert handle 42.

Once the lens material has cured, the cavity blocks are cooled to permit opening of mold base halves 80 a, 80 b along parting line PL. Mold insert 40 is removed from between cavity blocks 30, 32 using handle 42. Lens device 10 remains adhered about mold insert 40 at this point (FIG. 4E). Due to the tapered gate configuration, the liquid lens material in the runners should remain with one of the cavity blocks and have a clean break from the lens device 10. Should they remain attached to the lens device 10, they may be carefully removed therefrom. To remove the lens device 10 from mold insert 40, two of the haptics 16 a-c (preferably the two on either side of handle 42) are carefully stretched apart to permit the passage of mold insert 40 therebetween. Due to the resilient nature of the liquid lens material, the lens device 10 quickly returns to its unstretched state.

As stated above, different surface finishes may be applied to one or more preselected cavity surfaces to provide different surface characteristics to different portions of the molded lens device 10 as desired. A different surface finish may be desirable on the outwardly facing surfaces of haptics 16 a-c to improve visualization thereof during implantation. For example, a “frosted” haptic appearance may be created by making the haptic forming mold cavity surfaces with an Ra of between about 0.15μ to 1.25μ and more preferably between about 0.3μ and 0.75μ and most preferably about 0.55μ.

Surface finishes may also be used to ease the removal of the lens device from the mold insert 40. Since mold device 10 may be formed of a flexible material such as silicone, it may be removed from insert 40 by carefully stretching the haptics such that the mold insert may pass through the space defined between adjacent haptics as described above. A surface finish which is too smooth is undesirable since silicone will have a tendency to stick to a very smooth surface creating difficulty in release from the cavity and the paddle. On the other hand, a surface finish that is too rough will impart unacceptable imperfections to the lens. The surface finish should therefore be somewhere between very smooth and very rough. An Ra surface finish of between about less than or equal to 15 nm has been found to produce acceptable lens release and lens surface quality. Surface finishes may be determined using any type of known method and machine, e.g., a Zygo Newview microscope at 10×. 

1. A mold insert making an intraocular lens, said mold insert including a tool insert and an annular ring removably and concentrically attached to one another.
 2. The mold insert of claim 1 wherein said tool insert includes at least one optical surface.
 3. The mold insert of claim 2 wherein said tool insert includes first and second oppositely facing optical surfaces.
 4. The mold insert of claim 1 wherein said annular ring is adhesively secured in circumferential relation to said tool insert.
 5. The mold insert of claim 4 wherein said annular ring includes a through hole wherethrough adhesive may be injected to secure said tool insert thereto.
 6. A method for injection molding an intraocular lens having first and second optics, said method comprising the steps of: a) providing a first optic cavity for forming said first optic; b) providing a second optic cavity for forming said second optic; c) providing a first runner in fluid communication with said first optic cavity; and d) providing a second runner in fluid communication with said second optic cavity.
 7. The method of claim 6, and further comprising the step of providing a primary runner from which said first and second sub-runners branch off and extend to said first and second optic cavities.
 8. The method of claim 6 wherein said first and second runners have a substantially circular cross-section.
 9. The method of claim 8 wherein said primary runner has a substantially circular cross-section.
 10. The method of claim 9 and further comprising the step of providing one or more haptic cavities extending between and in fluid communication with said first and second optic cavities, said one or more haptic cavities for forming one or more haptics extending between and interconnecting said first and second optics, respectively.
 11. The method of claim 6 and further comprising the step of providing a mold insert having first and second optical surfaces defining in part said first and second optic cavities, respectively.
 12. The method of claim 11 and further comprising the step of providing a handle to which said mold insert is attached whereby said handle may be used for alternately locating and removing said mold insert from said apparatus between molding cycles.
 13. The method of claim 11 and further comprising the step of providing first and second cavity blocks each having an optical surface, said optical surface of said first and second cavity blocks and said first and second optical surfaces of said mold insert together defining said first and second optical cavities, respectively.
 14. The method of claim 6 wherein said first and second runners extend substantially horizontally.
 15. The method of claim 14 wherein said primary runner extends substantially horizontally.
 16. The method of claim 6 wherein liquid lens material is injected through said first and second runners substantially simultaneously.
 17. The method of claim 6 wherein first and second injection gates are defined at the juncture of said first optic cavity and said first runner, and at the juncture of said second optic cavity and said second runner, respectively, said first and second injection gates each taper inwardly into said first and second optic cavities, respectively.
 18. The method of claim 17 wherein said taper is between about 5 and 25 degrees.
 19. The method of claim 17 wherein said taper is between about 10 and 20 degrees.
 20. The method of claim 17 wherein said taper is about 15 degrees.
 21. The method of claim 6 wherein said first optic cavity is shaped to form a positive lens, and said second optic cavity is shaped to form a negative lens.
 22. The method of claim 21 wherein said first optic cavity is positioned below said second optic cavity.
 23. The method of claim 22 and further comprising the step of providing a mold insert having first and second optic surfaces defining in part said first and second mold cavities, respectively.
 24. The method of claim 23 and further comprising the step of providing a handle to which said mold insert is attached whereby said handle may be used for alternately locating and removing said mold insert from said apparatus between molding cycles.
 25. The method of claim 6 wherein said first and second optic cavities are formed in part by first and second optical surfaces defined on first and second tool inserts, respectively.
 26. The method of claim 25 and further comprising the step of providing first and second cavity blocks wherein said first and second tool inserts are removably mounted, respectively.
 27. The method of claim 26 and further comprising the step of providing a mold insert having first and second optical surfaces which, together with said first and second optical surfaces of said first and second tool inserts, define said first and second optic cavities, respectively.
 28. The method of claim 27 wherein said mold insert is removably mounted between said first and second cavity blocks.
 29. The method of claim 26 and further comprising the step of providing at least one haptic forming cavity formed between said first and second cavity blocks radially outwardly of said first and second optical surfaces.
 30. The method of claim 29 and further comprising the step of providing a mold insert having first and second optical surfaces which, together with said first and second optical surfaces of said first and second tool inserts, define said first and second optic cavities, respectively.
 31. The method of claim 30 wherein said haptic forming cavity is defined at least in part by said mold insert.
 32. The method of claim 30 wherein said mold insert includes an annular surface which defines at least part of said haptic forming cavity.
 33. The method of claim 32 wherein said first and second optical surfaces of said mold insert are formed on a tool insert circumscribed by said annular surface.
 34. The method of claim 33 wherein said tool insert of said mold insert is adhesively secured to said annular surface.
 35. The method of claim 34 wherein said annular surface includes a through hole wherethrough adhesive may be injected to secure said mold insert tool insert to said annular surface.
 36. The method of claim 35 and further comprising the step of providing a handle attached to said mold insert.
 37. The method of claim 36 and further comprising the step of providing first and second grooves formed in said first and second cavity blocks wherein said handle resides when said first and second cavity blocks are placed in abutting relation. 